Dana Sue Livingston, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-287430 Issued in IL

Practice address

550 W Saint Louis Ave
East Alton, IL 62024-1044

Phone

(618) 258-0350

Fax

(618) 258-6025

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1114202280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DOERR ST",
            "city": "ROXANA",
            "state": "IL",
            "postal_code": "620841114",
            "telephone_number": "618-251-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W SAINT LOUIS AVE",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241044",
            "telephone_number": "618-258-0350",
            "fax_number": "618-258-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "DANA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "34475",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-287430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Langenwalter, D.M.D., M.S.
• Emily Lautz
• Jeffrey M Lautz, DMD
• Fei-Tung Leu, MD
• Lincare Inc
• M-Lab Enterprises,LTD.
• Mangi Chiropractic & Acupuncture, Inc.
• Andrea M. Mangi
• Michael Todd Massie, D.M.D.
• Matthew J McCullough, DMD, 3 LLC

• Pharmacist in East Alton, IL
• Providers in East Alton, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.